Zhou Xiebo has been in the officialdom for a long time. After knowing the person behind the intern, he naturally would not insist on being unable to get along with Watson. After all, at that time, he also knew that he had no responsibility. On the contrary, he was also his daughter's life-saving benefactor.

"It's really not your responsibility to figure it out. Sorry, this doctor, our daughter is an only child, and we can't bear to lose her. So, I was very angry when I saw Lele in danger." Zhou Xiebo said.

Watson naturally couldn't see the real face under the thick mask of a politician, and of course he didn't care. His relationship with them was just the relationship between the doctor and the patient's family. Regardless of their identity and position.

Watson's grandfather treated the villagers all his life, saved other people's lives, and relieved other people's pain, which was a supreme honor for his grandfather. Watson liked this since he was a child. Although he later changed to Western medicine, this has not changed.

"It's okay. This is also human nature." Watson said.

"Brother Hua, don't pay attention to them. One of them only has careers and the other has official positions." Zhou Le said.

"Lele, this is wrong. Where can parents not care about their children?" Watson said.

"Do you care?" Zhou Le murmured.

After telling Zhou Le some precautions, Watson went to Gan Yangke's office again.

As soon as Gan Yangke saw Watson enter the clinic, he immediately smiled and said, "Come on, Watson, ask."

Watson sat down and asked, "What's your name? How old is it?"

"Cui Jianmin, 38 years old." Although the patient was a little dissatisfied with the attending doctor who suddenly asked an intern to see the doctor, it was difficult to show it.

Although Watson heard the patient's dissatisfaction, he continued to ask: "What's the situation?"

"The upper abdomen was painful the day before yesterday, and there was persistent severe pain. The pain also spread to these positions." The patient touched his right shoulder and right back with his hands.

"About an hour after the pain attack, it seemed like it was so cold that it was chilling. It had a high fever of 40 degrees. It vomited three times," the patient continued.

Watson asked, "Does the vomiting cause bile? Is it bitter or not? Is there any special color?"

"No bile, no color, just the same color as the nose. Yes, yesterday, my skin turned much yellow," said the patient.

"Did you have a bowel movement after the onset of the disease?" Watson asked.

"No. But I put a few stinky farts on it. The urine was red and yellow. This was the result of my examination." The patient said and handed over some examination results.

Auxiliary examination: blood routine/l, lobe division 85%, lymph 15%. The right diaphragm on the right side of the abdomen's x-ray fluoroscopy was significantly increased, and there was no free gas under the diaphragm. Hepatobiliary B ultrasound showed enlargement of the liver, and the bile duct in and outside the liver was significantly expanded. The common bile duct was 2.0cm in diameter, and two strong echo light groups were seen at the end of the common bile duct, with diameters of 2.5cm and 2.0cm in diameter, and the posterior accompanied by sound shadows.

Watson also conducted a physical examination on the patient.

Body temperature was 39 degrees Celsius, pulse was 130 times/miln, breathing 24 times/miln, blood pressure was 12.0/8.0kpa (90/60mmhg). The patient had acute pain expression, indifferent expression, sclera was yellow, eyelids were not edema, and skin was yellow. There was no abnormality in percussion between the lungs, and no dry and wet sounds were heard. The heart boundary was not big, the heart rhythm was uniform, the heart rate was 130 times/miln, and there was no murmur in each valve area. The abdomen was flat, the abdominal breathing was weakened, the right upper abdomen was tender, the right upper abdomen was positive, the liver area was positive, the upper liver boundary was in the fourth intercostal line of the right clavicle, the mobility was negative, and the intestinal rumbling sound was weakened.

Watson wrote down the diagnosis results: acute obstructive suppurative cholangitis. The treatment principle is to urgently remove bile tract obstruction and reduce pressure and drainage. After the condition stabilizes, thorough surgical treatment should be selected based on the cause of the disease after 1-3 months.

Gan Yangke nodded after reading the case written by Watson, and said, "Tell me what is the basis for your diagnosis?"

Watson nodded and said, ": Right upper abdominal cramp; chills, high fever; blood pressure lowers; sclera, yellow skin. It is in line with the chareot pentacle."

"This patient will be treated as your doctor's advice, and you will continue to follow up later." Gan Yangke said.

Seeing that the patient was unhappy, but he didn't dare to say it, Gan Yangke smiled and said, "Don't underestimate Xiaohua is just an intern. When it comes to surgical skills, ordinary old doctors may not be able to compare with me. It's not worse than me. It's just that I'm still lacking in experience, but with me around, I guarantee you won't have any problems."

Seeing Gan Yangke say this, the patient finally felt relieved. Although he was still a little nervous, he couldn't say much.

Watson arranged for nurses to perform pre-processing on the patient and then prepare for preliminary surgery.

The First Affiliated Hospital has been in a booming business, especially in recent times, the sky above the city has been shrouded in a thick layer of haze, and the number of people who are sick has increased year by year over year. As a famous hospital like the First Affiliated Hospital, there are naturally many people.

Since early morning, patients have been queuing outside the outpatient clinic with registration forms. The doctors are also very fast to see a doctor. Each patient can take up no more than ten minutes, which is still surgery. If it is like an internal medicine department, it is difficult for a patient to get five minutes.

If the diagnosis time is too short, the chance of misdiagnosis will increase naturally. However, if so many patients are waiting for treatment, they will complain a little slower. Of course, except when they are in the clinic.

Gan Yangke has always been slow, "Xiaosen, you must not be quick when you encounter this situation in the future. We must be very careful in the diagnosis of surgical treatment. We would rather spend more time than misdiagnosis. Because our surgical treatment is misdiagnosed, it is easy to kill people. Therefore, our surgical diagnosis must not be quick. Besides, even if you want to be quick, then people will spend a lot of money after completing various examinations. But they cannot be scheduled for surgery, so it will easily cause trouble."

Watson nodded. He also saw a lot in the past two days. Patients would vent their anger when they waited impatiently. However, after becoming a doctor, they also understood that doctors also had difficulties with doctors. There were no Sundays or holidays. Others reunite at home and enjoy happy hours, but doctors had to stay up day and night. Under tremendous pressure.
Chapter completed!